This is a condition in which the action of swallowing is difficult to perform (Royal Marsden, 2008). It is important to note that all confidential information relating to patient, ward, hospital and professional colleagues has not been included in this paper to ensure ethical practice and adherence to the NMC code of professional conduct (NMC, 2008). This nursing intervention was essential for a patient in my care, who for the purpose of the essay will be referred to as Sylvia. Nasogastric tubes are used as a short or medium term nutritional support and also for aspiration of stomach contents (Royal Marsden, 2008). Food can be administered through the tube directly into the stomach and the swallowing process does not need to take place.
Explain the meaning of the term confidentiality Confidentiality refers to the need to handle personal and private information in ways that are appropriate, safe and professional and meet legal requirements. There are three main reasons why confidentiality is an important issue in a health and social care setting. Trust The relationships you build with service users and their families are central to your care role. If you share their personal information with others who have no need or right to know you risk breaking their trust in you. Individuals also need to know there are secure systems and procedures operating in the care setting to protect confidential information.
This can cause depression, a sense loss or hopelessness and non-compliance with new medication regiments and new self-care practices. Frustration with his new physical limitation may cause him not to use his walker and precipitate falls. Given Mr. Trosack’s lack of acceptance of his newly diagnosed hypertension and Diabetes, my concern would be non-compliance with dietary changes and new medications. Timely taking of medications is important for control of blood sugar and blood pressure. The family does not appear to understand the need for this and education will be very necessary.
Interdisciplinary Case Management Amy E Plott RN Western Governors University Healthcare Issues and Their Importance Mr. Trosack has several healthcare issues that must be reviewed and addressed prior to discharge from the hospital. The case manager, and chosen interdisciplinary team, should evaluate and prioritize the issues found when providing a discharge plan of care. Mr. Trosack’s most pressing health issue is his recent hip fracture and subsequent total hip replacement (THR). Mr. Trosack is accustomed to being self-sufficient and will now have difficulty with mobility. This will affect his activities of daily living (ADL’s) therefore making it more difficult for him to care for himself without some type of assistance.
It is also argued that Mr. Bartling was not medically fit to make meaningful decision because of his vacillation. The nurses had on several occasions heard Mr. Bartling make several statements to his doctor and nurses to the effect that he wanted to live and did not want the ventilator disconnected(“Bartling v. Superior court”, 1984). This clearly gives a strong prove that the hospital had the responsibility to treat Mr. Bartling based on his persistence request to the doctors and
Nasogastric Tube Overview: Many patients are unable to ingest and swallow food and therefore may need nutritional support. In the short term, these patients need feeding through a nasogastric or nasojejunal tube. NG tube is used as well to instill medications, relief certain conditions, and diagnostic procedures. It is increasingly used to ensure the patient meets his nutritional needs. However, NG tubes have been associated with risks to the patient safety.
Becoming aware of these laws would be ideal, but not knowing the key points of each law where someone may encounter an emergency should be protected if they act reasonably. Keywords: liable, protect Good Samaritan Laws May Vary In her article “How good a Samaritan should you be?” Penny S. Brooke (2003) describes legal ramifications and duties a nurse has when encountering an emergency situation outside of work. Many people refuse involvement during an emergency due to a possible lawsuit. They may be unaware that most states have Good Samaritan laws. These laws are designed to protect an individual from being held liable when volunteering their healthcare skills in an emergency.
d. document that the adverse medication reaction was feigned because the patient had nowhere to live. ANS: C The case manager should intervene by arranging temporary shelter for the patient until suitable housing can be found. This is part of the coordination and delivery of services that falls under the case manager role. The other options are not viable alternatives. DIF: Cognitive Level: Application REF: Page: 73 TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 3.
This is definitely unethical. When more than a minor medical issue arises, the ethical thing for the physician assistant to do is take the patient to a practical setting and take the normal course of actions (2013). Joe is breaking this by taking kits out of the practice area into his own home without consent of the physician or the facility as a whole. The guidelines go over the importance of not providing informal care, which is exactly what Joe is doing in this situation. He is not only informally treating and collecting specimen from his daughter, but he is also not documenting any of the treatments that he is doing.